S365® MRF Hub is now live—meeting the 7/1/2022 regulatory deadline for clients
Our S365 MRF Hub solution meets the requirements of the Transparency in CoverageTransparency in Coverage Final Rule (CMS-9915-F) by ingesting, aggregating and managing the Plan’s/TPA’s in-network MRFs, the Host/Partner plans in-network MRFs or external link files, and the Plan’s/TPA’s Allowed Amounts file. All of the local files are hosted by Sapphire and made publicly available via URLs presented by the web application. The key feature of the S365 MRF Hub solution is the self-service web administration tool that allows users to easily map the required information, including reporting entities, reporting plans, and provider references, to generate the MRFs and TOCs required for the individual payers/issuers.
“This incredible accomplishment of bringing to market tools and solutions to meet and support the first phase of transparency is not only remarkable but central to making a difference in healthcare consumerism and affordability. Today, over half of American adults are challenged with healthcare debt, reminding us of the importance of delivering on our mission,” said Kyle Raffaniello, Sapphire Digital President, of this new solution.
The S365 MRF Hub solution key features include:
- End-to-end management of the MRFs
- Self-service Web Configuration Manager
- Hosting for the public presentation of the TOCs and MRFs.
- Utilization Reporting
For more information and to schedule a demonstration, visit sapphiremrfhub.com.
Now as a part of Zelis, we are poised to deliver on these promises as a strategic technology and strategy partner to heath plans, employers, third party administrators and their membership by bringing payers, providers, and consumers together into one efficient system.
For more information on how Zelis+Sapphire can help, contact your sales representative or Account Manager.